检索结果-南通市图书馆

Omental flaps reduces complications after pancreaticoduodenectomy

Hepatobiliary & Pancreatic Diseases International 2015年第3期14卷 313-319页

作者： Omar J Shah sadaf a bangri Manmohan Singh Reyaz A Lattoo Mohammad Y Bhat Department of Surgical Gastroenterology Sher-i-Kashmir Institute of Medical Sciences

BACKGROUND： Major complications after pancreaticoduo- denectomy are usually caused by a leaking pancreaticojejunal anastomosis. Omental flaps around various anastomoses were used to prevent the formation of fistula.

关键词： pancreaticoduodenectomy omental flaps periampullary neoplasms

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Impact of centralization of pancreaticoduodenectomy coupled with fast track recovery protocol:a comparative study from India

引用

Hepatobiliary & Pancreatic Diseases International 2016年第5期15卷 546-552页

作者： Omar J Shah sadaf a bangri Manmohan Singh Reyaz A Lattoo Mohammad Y Bhat Feroze A Khan Department of Surgical Gastroenterology Sher-i-Kashmir Institute of Medical Sciences

BACKGROUND: Fast track strategy in the management of patients undergoing intra-abdominal surgery of various types has emerged as a landmark approach to reduce surgical stress and accelerate recovery. This study was to evaluate the effect of fast track strategy on patients subjected to pancreaticoduo-denectomy (PD) from an individual unit during transit from low to a high volume center. METHODS: A total of 142 PD patients who had been subjected to fast track strategy between June 2008 and September 2012 were compared with 46 patients who had received convention-al surgery between January 2006 and May 2008. Comparative analysis was made of postoperative complications, postopera-tive recovery, length of hospital stay and patient readmission requirement. RESULTS: The patients subjected to fast track strategy had a faster recovery and a shorter hospital stay than those who were treated conventionally (7.8 vs 12.1 days). The intraoperative events like operative blood loss (417.9±83.8 vs 997.4 ±151.8 mL, P CONCLUSIONS: This preliminary analysis suggests that the fast track approach might be beneifcial to the well-being of the patients after PD, for it accelerates the immediate clinical recovery of patients and signiifcantly shortens their length of hospital stay.

关键词： fast track recovery pancreaticoduodenectomy

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

A selective approach to the surgical management of periampullary cancer patients and its outcome

引用

Hepatobiliary & Pancreatic Diseases International 2014年第6期13卷 628-633页

作者： Omar J Shah Irfan Robbani Parveen Shah sadaf a bangri Irfan J Khan Mohammad Y Bhat Manmohan Singh Departments of Surgical Gastroenterology Sher-i-Kashmir Institute of Medical Sciences Srinagar Kashmir India Radiodiagnosis & Imaging Sher-i-Kashmir Institute of Medical Sciences Srinagar Kashmir India Pathology Sher-i-Kashmir Institute of Medical Sciences Srinagar Kashmir India Departments of Surgical Gastroenterology Sher-i-Kashmir Institute of Medical Sciences Srinagar Kashmir India Departments of Surgical Gastroenterology Sher-i-Kashmir Institute of Medical Sciences Srinagar Kashmir India

BACKGROUND： Pancreaticoduodenectomy is a high risk, complex, technically challenging operation associated with significant perioperative morbidity and mortality. This study on the surgical management of periampullary cancer patients is based on our experience in a period of nearly 13 years. METHODS： The study was conducted on two groups of patients： group A included 42 patients who were treated between January 2000 and September 2005 and group B included 134 patients who were treated between October 2005 to October 2012. Preoperative, intraoperative and postoperative details of all these patients were collected, tabulated and analyzed to assess the impact of the selective approach introduced in the department with effect from October 2005. RESULTS： Intraoperative details revealed highly significant differences in the management of the two groups of patients in respect of operative time （250.4 vs 126.6 minutes; P〈0.001）, operative blood loss （1070.2 vs 414.9 mL; P〈0.001） and intraoperative blood transfusion （1A vs 0.2 units; P〈0.001）. Variations between the two groups in the frequency of complications were found to be statistically insignificant. However, the difference between the two groups in the overall morbidity of patients （47.6% vs 26.1%; P=0.009） and the length of their hospital stay （11.8 vs 7.8 days; P〈0.001） were significant. CONCLUSION： A selective approach applied to the surgical management of periampullary cancer patients is a step in the right direction.

关键词： pancreaticoduodenectomy superior approach technique Whipple's operation

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Pancreaticoduodenectomy:A study from India on the impact of evolution from a low to a high volume unit

引用

World Journal of Gastrointestinal Surgery 2016年第8期8卷 583-589页

作者： Omar J Shah Manmohan Singh Mohammad R Lattoo sadaf a bangri Department of Surgical Gastroenterology Sher-i-Kashmir Institute of Medical Sciences

AIM To analyse the impact of turning of our department from a low to a high volume provider of pancreaticoduodenectomy(PD) on surgical *** A retrospective collection of data was done for patients who underwent *** to the number of PDs undertaken per year,we categorized the volume into low volume( 25 PDs/year) *** From 2002 to 2013,200 patients underwent *** annual number of PD increased from 4 in 2002 to 34 in *** mean operative time,operative blood loss and need for intraoperative blood transfusion decreased considerably over the volume categories(P < 0.001,P < 0.001 and P < 0.001,respectively).Increased procedural volume was associated with a lower morbidity(P = 0.021) and shorter length of hospital stay(P < 0.001).Similarly the rate of mortality dropped from 10% for the low volume group to 2.2% for the medium volume group and 0.0% for the high volume group(P = 0.007).CONCLUSION The transformation from a low volume to a high volume provider of PD resulted in most favourable outcomes favouring the continued centralization of this high risk procedure.

关键词： Pancreaticoduodenectomy High volume centre

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：